伴癫痫发作的脑内海绵状血管瘤的手术治疗

发布时间：2018-03-23 20:52

本文选题：癫痫　切入点：脑内　出处：《吉林大学》2015年硕士论文

【摘要】：目的：探讨伴有癫痫发作的脑内海绵状血管瘤患者的手术方法。方法：通过回顾性分析收入吉林大学中日联谊医院神经外二科自2009年8月至2014年8月的伴癫痫发作的脑内海绵状血管瘤29例，，对完整切除脑内海绵状血管瘤病灶（包括瘤周胶质层及含铁血黄素层）、完整切除脑内海绵状血管瘤病灶+皮层热灼和部分脑叶切除(其中含海绵状血管瘤病灶)治疗患者的癫痫发作缓解情况及其它相关因素进行比较。结果： 1.完整切除脑内海绵状血管瘤病灶+皮层热灼的癫痫发作缓解情况明显好于仅完整切除脑内海绵状血管瘤病灶和部分脑叶切除(其中含海绵状血管瘤病灶)的患者。 2.癫痫病程少于1年的患者术后癫痫缓解情况明显好于癫痫病程多于1年的患者。结论： 1.伴癫痫发作的脑内海绵状血管瘤患者应早期手术治疗。 2.伴癫痫发作的脑内海绵状血管瘤患者应完整切除脑内病灶（包括瘤周胶质层和含铁血黄素层）的同时行皮层热灼术。
[Abstract]:Objective:. To investigate the operative methods of intracerebral cavernous hemangioma with epileptic seizure. Methods:. From August 2009 to August 2014, 29 cases of intracerebral cavernous hemangioma with seizures were analyzed retrospectively. Complete resection of intracerebral cavernous hemangioma lesions (including peri-tumor glial layer and hemosiderin layer), complete excision of cerebral cavernous hemangioma lesions by cortical heat cauterization and partial lobectomy (including cavernous hemangioma lesions). The remission of epileptic seizures and other related factors were compared. Results:. 1. The remission of epileptic seizures with complete excision of cerebral cavernous hemangioma was significantly better than that of patients with complete resection of intracerebral cavernous hemangioma and partial lobectomy (including cavernous hemangioma). 2. The remission of epilepsy in patients with epilepsy less than one year was significantly better than that in patients with epilepsy for more than one year. Conclusion:. 1. Patients with intracerebral cavernous hemangioma with epileptic seizures should be treated early. 2. In patients with intracerebral cavernous hemangioma with epileptic seizures, cortical heat cauterization should be performed at the same time as complete excision of lesions (including peri-tumor glial layer and hemosiderin layer).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R651.1

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